RAYMOND JAMES KENNEDY III MD
NPI 1871576223
Psychiatry & Neurology - Psychiatry in Woodbury, MN

Q: What is Raymond Kennedy's NPI number?

The NPI number for Raymond Kennedy is 1871576223. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Raymond Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Kennedy was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

2040 WOODWINDS DR, WOODBURY, MN 55125(651) 259-9750 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Raymond James Kennedy Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND JAMES KENNEDY III MD (NPI 1871576223) is an individual psychiatry provider in Woodbury, Minnesota, licensed in Minnesota (39653) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1871576223

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameRAYMOND JAMES KENNEDY IIICredential: MD

Location Address2040 WOODWINDS DRWoodbury, MN 55125-2522

Mailing Address2040 Woodwinds DrWoodbury, MN 55125-2522 · (651) 259-9750

Phone(651) 259-9750

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995

Enumeration DateNovember 21, 2005

Last NPPES UpdateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1871576223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MN · 39653

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2040 WOODWINDS DR, Woodbury, MN 55125

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Other Identifiers 3

Medicaid038460700MN

Other1501790MN · Medica

Other991N7KEMN · Bcbs Of Mn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raymond James Kennedy Iii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234186750

PECOS Enrollment IDI20050406000423

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Raymond Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aris Clinic PA

Same address

Psychiatry

2040 WOODWINDS DR
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
11 clinicians in this Medicare group

NPI 1609978063 (651) 259-9750

St. Croix Psychiatric, LLC

1.6 mi

Psychiatry

7616 CURRELL BLVD, SUITE 100
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
127 clinicians in this Medicare group

NPI 1881849586 (651) 259-9700

Bachmann And Associates, Inc. Dba Counseling Care

3.4 mi

Mental Health (Including Community Mental Health Center)

8669 EAGLE POINT BLVD
Lake Elmo, MN 55042

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Bachmann And Associates Inc
24 clinicians in this Medicare group

NPI 1538158506 (651) 379-0444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

54 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE GEDDES MS, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)